Stargardt Disease
Clinical Features:
There are characteristic ‘pisciform’ flecks or yellowish deposits that can be in the shape of a fish tail at the level of the RPE. These deposits collect in the posterior pole, usually within the macula, but can be outside the arcades (Fig. 16.2.1). The peripapillary region is characteristically spared. Some cases show severe macular atrophy as the prominent feature.
OCT Features:
OCT confirms the RPE as the location of the abnormal deposits and shows associated outer retinal atrophy, which may be present parafoveally (Fig. 16.2.2) or involve the fovea (Fig. 16.2.3
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